CalAIM Billing Specialist na Housing Matters

CalAIM Billing Specialist 

Housing Matters partners with individuals and families to create pathways out of their homelessness into permanent housing. We are a leader in working to end homelessness – and we want you to be part of our team! We are looking for individuals eager to make a difference and willing to enthusiastically commit to join in our vision that homelessness in Santa Cruz County should be rare, brief, and non-recurring.

The CalAIM Billing Specialist administers CalAIM processes from eligibility review and service authorization to service documentation and invoicing. Working under the direction of the Accounting Manager, the CalAIM Billing Specialist supports Housing Matters program staff to increase and maintain CalAIM utilization. 

Hours and Benefits: 

The CalAIM Billing Specialist is a full-time, hourly, non-exempt position, eligible for our generous benefits plan:

Benefits Summary:

• 6 Medical plans - 100% employee coverage
• Dental - 100% employee coverage
• Vision - 100% employee coverage
• Life insurance (UNUM) - 100% employee coverage
• Chiropractic and Acupuncture (for those who elect medical insurance) - 100% employee coverage
• 403b Retirement Savings matched up to 3% dollar-for-dollar with no vesting period
• Employee Assistance Program (EAP) and Travel Assistance
• PTO: 20 days annually, 1 paid floating holiday, 9 paid holidays

Regular hours are Monday through Friday. 

Starting Wage (Offer is Dependent on Experience):

$30.00, $30.90, $31.83, $32.78, $33.76, $34.77

Preferred Experience/ Education Requirements:

• Bachelor's degree or equivalent in a relevant field; and/or equivalent combination of education and experience to perform the duties of this position.
• 2 years of experience processing data in a medical field or social services. 
• Ability to understand complex and changing policies and provide instruction to staff.
• Ability to follow a complex workflow that incorporates multiple databases, portals, and spreadsheets.
• Ability to identify issues, conduct research, gather and interpret information and data, utilize various reporting methods, and make logical recommendations for action.
• Ability to identify issues requiring input or guidance from supervisor or partner staff
• Excellent verbal and written communication skills.
• Excellent interpersonal and phone etiquette skills.
• Excellent organizational skills and attention to detail.
• Proficient with Microsoft Office Suite, Google Suite, spreadsheets and databases; and related software.

Typical Job Duties:

• Identify health plan eligibility.
• Submit authorization requests for CalAIM services.
• Track CalAIM authorizations and advise staff on needed re-submissions.
•  Review HMIS reports for enrollment and documentation tasks.
• Prepare and submit documentation for billing.
• Access provider portals, HMIS databases, FTP servers, clearing houses and other data sources.
• Submit CalAIM claims.
• Review, reconcile, and correct CalAIM claims (denied claims, HMIS data, etc).
• Coordinate with Housing Matters program staff   
• Provide feedback on denied claims, processes, and other issues to Housing Matters staff and the health plan.
• Assess the feasibility of CalAIM requirements, analyze options, and participate in coordination meetings with the health plan and other partners.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Housing Matters provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.